Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revital Carroll, DOULA, CMT, CEIM

Individual provider Poetry Therapist · NPI 1326896879

Revital Carroll, DOULA, CMT, CEIM is a Poetry Therapist in Santa Cruz, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
6

Practice location Address checks out

326 Van Ness Ave
Santa Cruz, CA 95060-3538
Phone: (928) 713-7123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Doula (primary) Taxonomy 374J00000X
Poetry Therapist Taxonomy 102X00000X
Health Educator Taxonomy 174H00000X
Lactation Consultant (Non-RN) Taxonomy 174N00000X
Dance Therapist Taxonomy 225600000X
Massage Therapist Taxonomy 225700000X

Record details

NPI number1326896879
Entity typeIndividual (Type 1)
GenderFemale
Credentials DOULA , CMT , CEIM
Sole proprietorYes
NPI enumeratedMay 9, 2024
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024